Active NPI
Alisha Pearl Flanagan, BCBA, LBA
- Behavior Analyst
- Memphis, TN
National Provider Identifier
1386289544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1759
- Practice address
- 7007 Stage Rd
Memphis, TN 38133-4977 - Phone
- (901) 677-0422
- Fax
- (317) 520-8200
- NPI assigned
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2831-MH-B1 | MA | |
| Behavior Analyst | 103K00000X | 1759 | TN | Primary |
Addresses
Primary practice location
7007 Stage Rd
Memphis, TN 38133-4977
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
106 Monument St # 1
Medford, MA 02155-3514
Phone (951) 704-4167
Other names 1
- Alisha Pearl Kizziar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2831-MH-B1 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1386289544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7007 STAGE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381334977",
"telephone_number": "901-677-0422",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "106 Monument St # 1",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "MA",
"postal_code": "021553514",
"country_code": "US",
"telephone_number": "951-704-4167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLANAGAN",
"first_name": "ALISHA",
"middle_name": "PEARL",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2831-MH-B1",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISHA",
"last_name": "KIZZIAR",
"middle_name": "PEARL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.